Hello Thanks for writing to HCM Besides suppository you can try assisted bowel methods for emptying the bowels regularly.It can prevent constipation. Patient should attempt to take advantage of the gastrocolic reflex by timing the bowel movement after a meal, typically breakfast or dinner. She can also use the Valsalva maneuver to defecate whereas some patients need the assistance of digital stimulation, a stimulant suppository or an expansion enema. Use of these techniques help in achieving proper timing of the bowel movement and complete evacuation. A high-fiber diet, sometimes in combination with use of stool softeners help to optimize stool size and consistency. Also behavior modification also helps in achieving bowel continence in some children with myelomeningocele. Get well soon. Take Care Dr.Indu Bhushan